Active NPI
Bernadette M Grandieri, CCC-SLP
- Speech-Language Pathologist
- Wallingford, PA
National Provider Identifier
1083124283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SL013601
- Practice address
- 501 Plush Mill Rd
Wallingford, PA 19086-6040 - Phone
- (724) 471-2942
- Fax
- (724) 801-8147
- NPI assigned
- Oct 3, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SL013601 | PA | Primary |
Addresses
Primary practice location
501 Plush Mill Rd
Wallingford, PA 19086-6040
Mailing address
921 Country LN
Indiana, PA 15701-9744
Phone (724) 471-2942
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171116000938 | PA | Practitioner - Qualified Speech Language Pathologist | 3375809841 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Speech Language Pathologist
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
900 N Atwater Dr
Malvern, PA 19355-0078
Phone (855) 657-8723
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SL013601 | PA | MD | Speech-Language Pathologist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1083124283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "921 COUNTRY LN",
"city": "INDIANA",
"state": "PA",
"postal_code": "157019744",
"telephone_number": "724-471-2942",
"fax_number": "721-801-8147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 PLUSH MILL RD",
"city": "WALLINGFORD",
"state": "PA",
"postal_code": "190866040",
"telephone_number": "724-471-2942",
"fax_number": "724-801-8147"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRANDIERI",
"first_name": "BERNADETTE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-10-03",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "PA",
"license": "SL013601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.